Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.62 / $242.66 / $1,126.92	Professional		$161.62	$242.66	$1,126.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.18 / $28.24 / $37.24	Professional		$21.18	$28.24	$37.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.78 / $243.78 / $243.78	Facility		$243.78	$243.78	$243.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.78 / $243.78 / $297.33	Professional		$243.78	$243.78	$297.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.56 / $75.00 / $473.73	Professional		$35.56	$75.00	$473.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $161.62 / $221.09 / $304.18	Facility		$161.62	$221.09	$304.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $243.78 / $243.78 / $297.33	Professional		$243.78	$243.78	$297.33
United Facility/Professional Professional Modifier Low / Median / High Price $187.15 / $231.47 / $377.12	Professional		$187.15	$231.47	$377.12